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Customer Care Pharmacy Technician - Remote

Posted 5 days ago
Customer Service
Full Time
Worldwide
$28.00/hour

Overview

Capital Rx has an exciting full-time opportunity for remote candidates in the continental US, with priority given to those in Hawaii. The role involves acting as the primary point of contact for incoming member calls and ensuring appropriate escalation of cases.

In Short

  • Act as the primary point of contact for incoming member calls.
  • Intake thorough prior authorization requests from prescribers and members.
  • Advise callers on options for exception requests based on client benefits.
  • Triage incoming calls with professional phone etiquette.
  • Support Customer Service Representatives with member and pharmacy inquiries.
  • Communicate issues and solutions to ensure quality care.
  • Follow internal Standard Operating Procedures and adhere to HIPAA guidelines.
  • Assist with onboarding and training of new team members.
  • Support the Fraud, Waste, and Abuse program.
  • Meet departmental goals including schedule adherence and quality monitoring.

Requirements

  • High school diploma or equivalent; associate or bachelor’s degree preferred.
  • Current National Certification as a Pharmacy Technician (CPhT) and valid license required.
  • 2+ years of pharmacy technician experience in a clinical pharmacy setting.
  • 2+ years of customer service experience with strong communication skills.
  • Experience handling prior authorization requests preferred.
  • Ability to work independently in a remote, fast-paced environment.
  • Bilingual Spanish highly preferred.
  • Medicare experience preferred.
  • Tech-savvy with proficiency in CRM systems and Microsoft Office Suite.
  • Demonstrated ability to meet performance metrics.

Benefits

  • Flexible working hours.
  • Supportive and diverse workplace culture.
  • Opportunity to improve patient outcomes.
  • Training and development opportunities.
  • Health and wellness programs.

C.R

Capital Rx

Capital Rx is a health technology company dedicated to providing innovative claim administration and technology solutions for carriers, health plans, third-party administrators, employer groups, and government entities. As a public benefit corporation, Capital Rx aims to significantly reduce healthcare costs through its full-service pharmacy benefit management (PBM) services and the deployment of Judi®, a cloud-native enterprise health platform. Judi integrates all aspects of the healthcare ecosystem into a single, efficient, and scalable platform, serving millions of members across Medicare, Medicaid, and commercial plans. The company is committed to reimagining benefits administration and rebuilding trust in healthcare while fostering a diverse and inclusive workplace.

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